Inspection on 13/02/06 for Hillcroft (Lancaster) Nursing Home

This inspection was carried out on 13th February 2006.

CSCI has not published a star rating for this report, though using similar criteria we estimate that the report is Good. The way we rate inspection reports is consistent for all houses, though please be aware that this may be different from an official CSCI judgement.

The inspector made no statutory requirements on the home as a result of this inspection and there were no outstanding actions from the previous inspection report.

Other inspections for this house

Hillcroft (Lancaster) Nursing... 16/03/07

Similar services:

Chirnside House

Keer Sands Residential Home

Ruskin Lodge

Bushell House

Langrigg House

Parkside

Dystlegh Grange

Thornton Lodge

Extracts from inspection reports are licensed from CQC, this page was updated on 09/07/2008.

CARE HOMES FOR OLDER PEOPLE Hillcroft (Lancaster) Nursing Home Westbourne Road Lancaster Lancashire LA1 5DX Lead Inspector Mrs Christine Marshall Unannounced Inspection 13th February 2006 10:00 X10015.doc Version 1.40 Page 1 The Commission for Social Care Inspection aims to: • • • • Put the people who use social care first Improve services and stamp out bad practice Be an expert voice on social care Practise what we preach in our own organisation Reader Information Document Purpose Author Audience Further copies from Copyright Inspection Report CSCI General Public 0870 240 7535 (telephone order line) This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI www.csci.org.uk Internet address Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 2 This is a report of an inspection to assess whether services are meeting the needs of people who use them. The legal basis for conducting inspections is the Care Standards Act 2000 and the relevant National Minimum Standards for this establishment are those for Care Homes for Older People. They can be found at www.dh.gov.uk or obtained from The Stationery Office (TSO) PO Box 29, St Crispins, Duke Street, Norwich, NR3 1GN. Tel: 0870 600 5522. Online ordering: www.tso.co.uk/bookshop This report is a public document. Extracts may not be used or reproduced without the prior permission of the Commission for Social Care Inspection. Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 3 SERVICE INFORMATION Name of service Hillcroft (Lancaster) Nursing Home Address Westbourne Road Lancaster Lancashire LA1 5DX Telephone number Fax number Email address Provider Web address Name of registered provider(s)/company (if applicable) Name of registered manager (if applicable) Type of registration No. of places registered (if applicable) 01524 63107 01524 389413 Hillcroft (Carnforth) Limited Care Home 18 Category(ies) of Old age, not falling within any other category registration, with number (18) of places Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 4 SERVICE INFORMATION Conditions of registration: 1. 2. The home is registered for a maximum of 18 service users within the category of Older People (OP) The service should employ a suitably qualified and experienced manager who is registered with the Commission for Social Care Inspection Date of last inspection Brief Description of the Service: Hillcroft Lancaster is a Care Home with Nursing, situated close to the railway station and all the amenities of Lancaster centre. It provides full nursing care for 18 persons in ground and first floor accommodation. There is access for wheelchair and semi-mobile service users and a passenger lift is in place. All bedrooms are decorated and furnished to a good standard. There are currently two lounge/dining areas. There are adequate toilets and assisted bathrooms. Trained nurses are on duty at all times. The home is well maintained with well kept garden areas around the building. There is adequate parking space for visitors. Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 5 SUMMARY This is an overview of what the inspector found during the inspection. This is the second of two unannounced inspection visits, scheduled from 1st April 2005 to 31st March 2006. The home has very recently changed ownership and all of the philosophies, policies and procedures are to be changed to those of the new owners, Hillcroft Nursing Homes Ltd. All of the people spoken to at Hillcroft Lancaster said that they preferred to be called residents. The inspection took place from 10am to 1pm and was carried out by the home’s designated lead inspector and an accompanying inspector. A tour of the home was done and this included some of the bedrooms, lounge and dining areas, laundry and bathrooms. No comment cards were received from residents or relatives, with one GP comment. The inspectors spoke with a number of the residents. There were no relatives available during the inspection visit. The manager, nurse in charge and care staff were spoken to. Everyone was welcoming and co-operative throughout the visit. What the service does well: Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 6 The home is set very close to Lancaster centre and is pleasantly situated in its own grounds. Daily routines for the people living at Hillcroft Lancaster are as flexible as they can be and designed to meet the residents’ individual needs. Meals are good. All of the residents that were spoken to during the visit said that they were very satisfied with the quality and variety of meals that are provided. Comments from the residents were all complimentary. Carers are friendly and the residents spoken to said that the staff were all helpful and caring. The home is kept clean and hygienic. What has improved since the last inspection? The medication systems have been changed to a monitored dosage system, and this makes sure that written records of medicines for each resident are accurate and safe. Records of all meals that the residents have are now to be kept for three years, in accordance with the Care Homes Regulations 2001. This enables any person inspecting the records to confirm that a nutritious and/or special diet has been provided. Coded doors have been put in place to ensure the safety of residents. A new up-dated nurse call system is to be installed in March 2006 which. A new computer system administration of the home. has also been purchased to improve the Generally there are plans to make a number of changes and improvements to the home and these will be looked at during the next site visit to the home. Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 7 What they could do better: Please contact the provider for advice of actions taken in response to this inspection. The report of this inspection is available from enquiries@csci.gsi.gov.uk or by contacting your local CSCI office. Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 8 DETAILS OF INSPECTOR FINDINGS CONTENTS Choice of Home (Standards 1–6) Health and Personal Care (Standards 7-11) Daily Life and Social Activities (Standards 12-15) Complaints and Protection (Standards 16-18) Environment (Standards 19-26) Staffing (Standards 27-30) Management and Administration (Standards 31-38) Scoring of Outcomes Statutory Requirements Identified During the Inspection Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 9 Choice of Home The intended outcomes for Standards 1 – 6 are: 1. 2. 3. 4. 5. 6. Prospective service users have the information they need to make an informed choice about where to live. Each service user has a written contract/ statement of terms and conditions with the home. No service user moves into the home without having had his/her needs assessed and been assured that these will be met. Service users and their representatives know that the home they enter will meet their needs. Prospective service users and their relatives and friends have an opportunity to visit and assess the quality, facilities and suitability of the home. Service users assessed and referred solely for intermediate care are helped to maximise their independence and return home. The Commission considers Standards 3 and 6 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No judgement has been made. EVIDENCE: These standards were assessed on the previous inspection visit and all were met. Hillcroft Lancaster’s Statement of Purpose and Service Users Guide are available for prospective and existing residents. Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 10 Health and Personal Care The intended outcomes for Standards 7 – 11 are: 7. 8. 9. 10. 11. The service user’s health, personal and social care needs are set out in an individual plan of care. Service users’ health care needs are fully met. Service users, where appropriate, are responsible for their own medication, and are protected by the home’s policies and procedures for dealing with medicines. Service users feel they are treated with respect and their right to privacy is upheld. Service users are assured that at the time of their death, staff will treat them and their family with care, sensitivity and respect. The Commission considers Standards 7, 8, 9 and 10 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 7 The are comprehensive and clear care planning systems in place, which means the needs of the residents are met in a consistent and caring manner. EVIDENCE: A new care pathway system has been introduced into the home where a care menu of needs is done for each prospective resident on the pre-admission assessment visit; this is then developed into a care pathway for the new resident. The system means that identified needs in the care menu are transferred into a working document (care plan) or care pathway; these have also been introduced for existing residents. Care pathways are reviewed either monthly or as residents needs change. A number of care plans were looked at and these showed that the information is clear and that reviews take place. Staff on duty said that they were working with the new care pathways. Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 11 Daily Life and Social Activities The intended outcomes for Standards 12 - 15 are: 12. 13. 14. 15. Service users find the lifestyle experienced in the home matches their expectations and preferences, and satisfies their social, cultural, religious and recreational interests and needs. Service users maintain contact with family/ friends/ representatives and the local community as they wish. Service users are helped to exercise choice and control over their lives. Service users receive a wholesome appealing balanced diet in pleasing surroundings at times convenient to them. The Commission considers all of the above key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No judgement has been made. EVIDENCE: All of these standards were assessed on the previous inspection visit and each was met. Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 12 Complaints and Protection The intended outcomes for Standards 16 - 18 are: 16. 17. 18. Service users and their relatives and friends are confident that their complaints will be listened to, taken seriously and acted upon. Service users’ legal rights are protected. Service users are protected from abuse. The Commission considers Standards 16 and 18 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 18 Residents are protected through all members of staff having abuse awareness training. EVIDENCE: Hillcroft Lancaster now have the Hillcroft Nursing Homes Ltd organisational established training programmes for abuse awareness. All staff are currently being assessed for abuse training needs. Copies of the General Social Care Council Code of Conduct for Carers are available for every member of staff. Nurses and carers said that they were aware of abuse issues. Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 13 Environment The intended outcomes for Standards 19 – 26 are: 19. 20. 21. 22. 23. 24. 25. 26. Service users live in a safe, well-maintained environment. Service users have access to safe and comfortable indoor and outdoor communal facilities. Service users have sufficient and suitable lavatories and washing facilities. Service users have the specialist equipment they require to maximise their independence. Service users’ own rooms suit their needs. Service users live in safe, comfortable bedrooms with their own possessions around them. Service users live in safe, comfortable surroundings. The home is clean, pleasant and hygienic. The Commission considers Standards 19 and 26 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): No judgement has been made. EVIDENCE: All of these standards were assessed on the previous inspection visit and each was met. There are currently plans underway for the redevelopment of the home, including refurbishment programmes. Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 14 Staffing The intended outcomes for Standards 27 – 30 are: 27. 28. 29. 30. Service users’ needs are met by the numbers and skill mix of staff. Service users are in safe hands at all times. Service users are supported and protected by the home’s recruitment policy and practices. Staff are trained and competent to do their jobs. The Commission consider all the above are key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 29 & 30 Staff are properly checked before being employed at the home and there are clear training programmes that make sure that staff have the information and skills to meet the range of care and support needed by the residents. EVIDENCE: Two staff files were looked at and these showed that there is a satisfactory recruitment procedure in place. The company’s training manager will be undertaking a full audit of training needs and appropriate training will be provided. Induction training is already in place, which includes a seven-day programme covering all aspects of care work. Existing staff have been provided with an introduction to their new parent company and an experienced senior care worker is giving support in respect of the new systems which have been introduced. Standard 27 was not assessed at this inspection, however one comment card raised an issue in respect of reduced staffing levels. This issue did not have any adverse effect on the residents at the home who were observed being attended to appropriately and in a timely way by staff who were competent, confident as they went about their business. Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 15 Management and Administration The intended outcomes for Standards 31 – 38 are: 31. 32. 33. 34. 35. 36. 37. 38. Service users live in a home which is run and managed by a person who is fit to be in charge, of good character and able to discharge his or her responsibilities fully. Service users benefit from the ethos, leadership and management approach of the home. The home is run in the best interests of service users. Service users are safeguarded by the accounting and financial procedures of the home. Service users’ financial interests are safeguarded. Staff are appropriately supervised. Service users’ rights and best interests are safeguarded by the home’s record keeping, policies and procedures. The health, safety and welfare of service users and staff are promoted and protected. The Commission considers Standards 31, 33, 35 and 38 the key standards to be inspected at least once during a 12 month period. JUDGEMENT – we looked at outcomes for the following standard(s): 33, 35 & 38 The home makes sure that the personal and financial interests of the residents are protected in that their health and safety is promoted. EVIDENCE: Since the Hillcroft Company took over the ownership of this home, meetings have been held with both residents and relatives to offer reassurance and to inform them of the proposed changes which they hope to introduce. There are plans to arrange a relatives support group. This group will be made up of current relatives and hopefully, relatives of people no longer at the home and will provide support, information and social gatherings. The group will meet on a monthly basis, with input from the Directors, the General Manager and the manager of the home. These meetings are considered valuable and will provide an opportunity for relatives to meet with others, to share information and to Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 16 make sure “new relatives” are given support and help from someone who has experience in what it is like to see a loved one go into a care home. Quality questionnaires and residents meetings will also take place. There are procedures in place to ensure the resident’s financial interests are protected. The manager confirmed that no monies are held for any residents. The General Manager said that the quality system that is currently used at the company’s other homes is going to be introduced into this home. Feedback will be sought from residents, relatives and external healthcare professionals. The registered provider will also visits the home on a weekly basis and monthly reports will be sent to the Commission. The company’s mandatory training programmes is now underway for all staff that work at the home, and it is expected that all will be completed by 30 May 2006 A health and safety audit is being done and a plan of action will be developed for any issues that might arise. The accident book was examined and found to confirm to the Date Protection. Accidents were accurately recorded. Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 17 SCORING OF OUTCOMES This page summarises the assessment of the extent to which the National Minimum Standards for Care Homes for Older People have been met and uses the following scale. The scale ranges from: 4 Standard Exceeded 2 Standard Almost Met (Commendable) (Minor Shortfalls) 3 Standard Met 1 Standard Not Met (No Shortfalls) (Major Shortfalls) “X” in the standard met box denotes standard not assessed on this occasion “N/A” in the standard met box denotes standard not applicable CHOICE OF HOME Standard No Score 1 2 3 4 5 6 ENVIRONMENT Standard No Score 19 20 21 22 23 24 25 26 X X X X X N/A HEALTH AND PERSONAL CARE Standard No Score 7 3 8 X 9 X 10 X 11 X DAILY LIFE AND SOCIAL ACTIVITIES Standard No Score 12 X 13 X 14 X 15 X COMPLAINTS AND PROTECTION Standard No Score 16 X 17 X 18 3 X X X X X X X X STAFFING Standard No Score 27 X 28 X 29 3 30 3 MANAGEMENT AND ADMINISTRATION Standard No 31 32 33 34 35 36 37 38 Score X X 3 X 3 X X 3 Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 18 Are there any outstanding requirements from the last inspection? STATUTORY REQUIREMENTS This section sets out the actions, which must be taken so that the registered person/s meets the Care Standards Act 2000, Care Homes Regulations 2001 and the National Minimum Standards. The Registered Provider(s) must comply with the given timescales. No. Standard Regulation Requirement Timescale for action RECOMMENDATIONS These recommendations relate to National Minimum Standards and are seen as good practice for the Registered Provider/s to consider carrying out. No. 1 2 Refer to Standard OP26 OP30 Good Practice Recommendations A hand wash basin should be fitted in the laundry room. All staff should undertake the company’s mandatory training programmes by 30/05/06. Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 19 Commission for Social Care Inspection North Lancashire Area Office 2nd Floor, Unit 1, Tustin Court Port Way Preston PR2 2YQ National Enquiry Line: 0845 015 0120 Email: enquiries@csci.gsi.gov.uk Web: www.csci.org.uk © This report is copyright Commission for Social Care Inspection (CSCI) and may only be used in its entirety. Extracts may not be used or reproduced without the express permission of CSCI Hillcroft (Lancaster) Nursing Home DS0000066641.V283626.R01.S.doc Version 5.1 Page 20 - Please note that this information is included on www.bestcarehome.co.uk under license from the regulator. Re-publishing this information is in breach of the terms of use of that website. Discrete codes and changes have been inserted throughout the textual data shown on the site that will provide incontrovertable proof of copying in the event this information is re-published on other websites. 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